Congenital Central Overinflation with Mainstem Bronchial Stenosis: Pre- and Postnatal Imaging and Outcome—Case Report and Brief Review of Literature

Abstract Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of central variety of congenital overinflation, secondary to right mainstem bronchial stenosis, not previously described in our knowledge, w...

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Published inThe Indian journal of radiology & imaging Vol. 31; no. 4; pp. 1031 - 1035
Main Authors Sheth, Swapnil, Ghuman, Samarjit S., Buxi, Tarvinder B.S., Sud, Seema, Aggarwal, Satish Kumar, Sachdev, Anil
Format Journal Article
LanguageEnglish
Published A-12, 2nd Floor, Sector 2, Noida-201301 UP, India Thieme Medical and Scientific Publishers Pvt. Ltd 01.10.2021
Subjects
bronchial stenosis
Case Report
congenital overinflation
MRI
prenatal
ultrasound
congenital overinflation
MRI
prenatal
ultrasound
bronchial stenosis
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Summary:Abstract Congenital overinflation of lung is underdiagnosed prenatally as the imaging features of the same are not well described. We describe a very rare case of central variety of congenital overinflation, secondary to right mainstem bronchial stenosis, not previously described in our knowledge, which presented as an enlarged homogenous echogenic/hyperintense lung with cardio-mediastinal shift and was misdiagnosed as congenital pulmonary airway malformation (CPAM). We reviewed imaging features helpful in prenatal diagnosis of this condition on ultrasound and magnetic resonance imaging and discussed an approach for differential diagnosis. The congenital central overinflation may be considered in prenatal detected echogenic lung lesions with the absence of cysts or systemic arterial supply and presence of hypervascularity or dilated bronchi within the lesion.
ISSN:0971-3026
0971-3026
1998-3808
DOI:10.1055/s-0041-1739380